Herrera, Joe M.

Herrera, Joe M. is an individual health care provider with primary practice located at 701 Washington Blvd. , Kansas City KS 66101. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Herrera, Joe M. can be contacted via phone (913) 362-8868.

Contact Information

Primary practice address
701 Washington Blvd. Kansas City KS 66101
Phone: (913) 362-8868
Fax: (913) 362-1780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6532 Kansas

Profile Details

NPI number 1730178195
LBN Legal business name Herrera, Joe M.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Sep 16th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730178195 NPPES
Kansas MEDICAID 100224130-A
Kansas MEDICAID 100224130A
Kansas Other 15284016

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